﻿<!DOCTYPE html>
<html>
<head>
    <meta charset="utf-8">
    <meta name="viewport"
          content="width=device-width, initial-scale=1.0, maximum-scale=1.0, minimum-scale=1.0, user-scalable=no, minimal-ui">
    <meta name="screen-orientation" content="portrait"/>
    <meta name="apple-mobile-web-app-capable" content="yes">
    <meta name="format-detection" content="telephone=no">
    <meta name="full-screen" content="yes">
    <meta name="x5-fullscreen" content="true">
    <link rel="stylesheet" href="css/reset.css">
    <link rel="stylesheet" href="css/weui.min.css">
    <link rel="stylesheet" href="css/LArea.css">
    <link rel="stylesheet" href="css/validate.css">
    <link rel="stylesheet" href="css/m_ektz.css">
    <script src="js/rem.js"></script>
    <title>我要报名</title>
</head>
<body>
<div class="container" style="background: #FAEBEF">
    <div class="apply-box">
        <div class="top-pic">
            <img src="images/index/icon_kid.png">
        </div>
        <p class="title">填写报名信息</p>
        <form action="" id="applyForm" class="form-box">
            <div class="form-item">
                <label for="mobile">手机<i></i></label>
                <input type="tel"
                       id="mobile"
                       name="mobile"
                       autocomplete="off"
                       placeholder="请输入您的手机号码">
                <button type="button" class="send-btn" id="registerSend">获取验证码</button>
            </div>
            <div class="form-item">
                <label for="verificationCode">验证码<i></i></label>
                <input type="tel"
                       id="verificationCode"
                       name="verificationCode"
                       autocomplete="off"
                       placeholder="请输入验证码">
            </div>
            <div class="form-item">
                <label for="password">密码<i></i></label>
                <input type="password"
                       id="password"
                       name="password"
                       autocomplete="off"
                       placeholder="请输入您的密码">
            </div>
            <div class="form-item">
                <label for="userName">姓名<i></i></label>
                <input type="text"
                       id="userName"
                       name="userName"
                       autocomplete="off"
                       placeholder="请输入您的姓名">
            </div>
            <div class="form-item" style="position: relative">
                <label for="keyword">医院名称<i></i></label>
                <input type="text" id="keyword" placeholder="请输入医院名称" />
                <div class="select-list">
                    <div class="select-content">
                        <script type="text/tmp" id="hospitalList">
                            <p data-hospital-id="{{:hospitalId}}" data-match-area="{{:matchArea}}">{{:hospitalName}}</p>
                        </script>
                    </div>
                </div>
                <button type="button" class="add-hospital-btn">新增医院</button>
            </div>
            <div class="form-item">
                <label for="position">职称<i></i></label>
                <input type="text"
                       id="position"
                       name="position"
                       autocomplete="off"
                       readonly=""
                       onclick="this.blur()"
                       placeholder="请选择您的职称">
            </div>
            <div class="form-item">
                <label for="teamName">队伍<i></i></label>
                <input type="text"
                       id="teamName"
                       name="teamName"
                       autocomplete="off"
                       readonly=""
                       onclick="this.blur()"
                       placeholder="请选择您的队伍">
                <button type="button" class="add-team-btn">新增队伍</button>
            </div>
            <div class="form-item">
                <label for="userType">参赛身份<i></i></label>
                <input type="text"
                       id="userType"
                       name="userType"
                       autocomplete="off"
                       readonly=""
                       onclick="this.blur()"
                       placeholder="请选择您的身份">
            </div>
            <div class="form-item">
                <label for="BU">选择BU<i></i></label>
                <input type="text"
                       id="BU"
                       name="BU"
                       autocomplete="off"
                       readonly=""
                       onclick="this.blur()"
                       placeholder="请选择BU">
            </div>
            <div class="form-item">
                <label>赛区<i></i></label>
                <input readonly id="matchArea" style="text-align: center;border: none" />
            </div>
            <div class="bottom-bar">
                <button type="button" id="do-reg" class="form-submit" id="formSubmit">确认报名</button>
            </div>
        </form>
        <div class="foot-pic">
            <img src="images/common/slogan.png">
        </div>
    </div>
    <div class="apply-box apply-success">
        <div class="top-pic">
            <img src="images/index/icon_kid.png">
        </div>
        <p class="title">恭喜</p>
        <p class="integral">
            <span class="title">
                您为澳美中国儿研究基金公益积分<span>200</span>分
            </span>
        </p>
        <div class="apply-success-detail">
            <p class="title">报名成功</p>

        </div>
        <div class="foot-pic">
            <img src="images/common/slogan.png">
        </div>
    </div>
</div>
<!--新增医院-->
<div class="dialog add-hospital-dialog">
    <div class="dialog-body">
        <div class="top-pic">
            <img src="images/index/icon_kid.png">
        </div>
        <div class="dialog-content">
            <p class="title">新增医院</p>
            <form action="" class="add-hospital-form">
                <div class="form-item">
                    <label for="area">省/市<i></i></label>
                    <input type="text"
                           id="area"
                           name="area"
                           autocomplete="off"
                           readonly=""
                           onclick="this.blur()"
                           placeholder="请选择您的区域">
                    <span class="downward"></span>
                </div>
                <div class="form-item">
                    <label for="hospitalAdd">医院名称<i></i></label>
                    <input type="text"
                           id="hospitalAdd"
                           autocomplete="off"
                           name="hospitalAdd"
                           placeholder="请输入医院名称">
                </div>
                <button type="button" class="add-hospital-submit">确认提交</button>
            </form>
        </div>
        <div class="dialog-close"></div>
    </div>
</div>
<!--新增医院end-->
<!--新增队伍-->
<div class="dialog add-team-dialog">
    <div class="dialog-body">
        <div class="top-pic">
            <img src="images/index/icon_kid.png">
        </div>
        <div class="dialog-content">
            <p class="title">新增队伍</p>
            <form action="" class="add-team-form">
                <div class="form-item">
                    <label for="teamNameAdd">队伍名称<i></i></label>
                    <input type="text"
                           id="teamNameAdd"
                           autocomplete="off"
                           name="hospitalAdd"
                           placeholder="请输入队伍名称">
                </div>
                <button type="button" class="add-team-submit"  id="addTeam">确认提交</button>
            </form>
        </div>
        <div class="dialog-close"></div>
    </div>
</div>
<!--新增队伍-end-->
</body>
<script src="js/rem.js"></script>
<script src="js/jquery-3.1.1.js"></script>
<script src="js/jquery-mvalidate.js"></script>
<script src="js/weui.min.js"></script>
<script src="js/jsrender.js"></script>
<script src="js/api.js"></script>
<script src="js/action.js"></script>
<script>Reg.init()</script>
</html>